{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:00:02Z","timestamp":1793228402706,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the Yamaji Fumiko Nursing Research Fund","award":["Heisei26-32"],"award-info":[{"award-number":["Heisei26-32"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dementia"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Individuals who have dementia with Lewy bodies present various symptoms that differ from those associated with Alzheimer\u2019s disease. Of the several characteristic symptoms of dementia with Lewy bodies, visual hallucinations often appear in the early stages of the disease, and some hallucinations cause people with dementia with Lewy bodies to experience unique difficulties in their daily lives. The aim of this paper is to clarify the visual hallucination-related difficulties experienced by people with dementia with Lewy bodies as well as their coping methods. Participants were 10 people with dementia with Lewy bodies who were living at home, with input also obtained from their family members. Data were collected through semi-structured interviews, and a qualitative content analysis was consequently performed. The qualitative analysis showed four primary difficulties in the period before a patient realizes that their visual hallucinations are a symptom of an underlying disease; these included \u201cfeeling something strange is happening\u201d and \u201crestrictions on activities.\u201d Realizing that what they were experiencing was not real was a significant turning point for the participants, with some discovering this by discussing their apparitions with their families. It was consequently determined that, after an individual realizes that their hallucinations are indicative of a more serious condition, two further difficulties arise, including the \u201cinability to discuss the visual hallucinations with friends and family.\u201d With regard to coping methods, some participants reported rearranging their living environments to hide areas where hallucinations commonly appeared. This paper suggests that care is needed to help people with dementia with Lewy bodies recognize that their visual hallucinations are a manifestation of their illness. In particular, psychological support should be made available to address the anxiety caused by the appearance of visual hallucinations and to help patients adjust their environments to reduce or prevent the appearance of such hallucinations.<\/jats:p>","DOI":"10.1177\/1471301219879541","type":"journal-article","created":{"date-parts":[[2019,10,15]],"date-time":"2019-10-15T02:56:44Z","timestamp":1571108204000},"page":"291-307","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Difficulties and associated coping methods regarding visual hallucinations caused by dementia with Lewy bodies"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5396-5733","authenticated-orcid":false,"given":"Akiyo","family":"Yumoto","sequence":"first","affiliation":[{"name":"Graduate School of Nursing, Chiba University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3693-7455","authenticated-orcid":false,"given":"Sayuri","family":"Suwa","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing, Chiba University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"bibr1-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1159\/000333072"},{"key":"bibr3-1471301219879541","volume-title":"Research methods in clinical psychology: An introduction for students and practitioners","author":"Barker C.","year":"2016"},{"key":"bibr4-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.44.5.388"},{"key":"bibr5-1471301219879541","unstructured":"Bernard B. (1957).\n                      Content analysis.\n                      (I. Michio & K. Qu-Hwan, Trans.). Tokyo, Japan: Misuzu Shobo. (Original work published 1952)."},{"key":"bibr6-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1016\/0260-6917(91)90009-Y"},{"key":"bibr8-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2009.62"},{"key":"bibr9-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"bibr10-1471301219879541","first-page":"862","volume":"27","author":"Fujishiro H.","year":"2016","journal-title":"Japanese Journal of Geriatric Psychiatry"},{"key":"bibr11-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0b013e3181c72b5d"},{"key":"bibr12-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awf033"},{"key":"bibr13-1471301219879541","volume-title":"Qualitative research in nursing and healthcare","author":"Holloway I.","year":"2010"},{"key":"bibr14-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60688-1"},{"key":"bibr15-1471301219879541","volume-title":"Ninchi-shou no hito ga sankasuru kenkyu no rinri ni kansuru teigen [Proposal on the ethics of research in which people with dementia participate]","author":"Japan Association for Clinical Ethics","year":"2019"},{"key":"bibr16-1471301219879541","first-page":"15","volume":"15","author":"Kagami A.","year":"2014","journal-title":"Dementia Care"},{"key":"bibr17-1471301219879541","first-page":"23","volume":"37","author":"Kato Y.","year":"2014","journal-title":"Japanese Journal of Nursing Research"},{"key":"bibr18-1471301219879541","volume-title":"Dainino ninchishou-hueru rebi- shoutaigata ninchishouno ima [Second most common form of dementia \u2013 Increase in the prevalence of dementia with Lewy bodies]","author":"Kosaka K.","year":"2012"},{"key":"bibr19-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnq055"},{"key":"bibr20-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004058"},{"key":"bibr21-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000187889.17253.b1"},{"key":"bibr22-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.47.5.1113"},{"key":"bibr23-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.59.2.185"},{"key":"bibr24-1471301219879541","unstructured":"Ministry of Health, Labour and Welfare (2006). Ninchishou koureisha no nichijouseikatsujiritsudo no hantei ni tuite [The criteria of activities of daily living (ADL) score of people with dementia]. Retrieved from https:\/\/www.mhlw.go.jp\/stf\/shingi\/2r9852000001hi4o-att\/2r9852000001hi8n.pdf"},{"key":"bibr25-1471301219879541","unstructured":"Ministry of Health, Labour and Welfare (2011). Health and welfare services for the elderly \u2013 Detailed information 4: Procedures for using the system. Retrieved from https:\/\/www.mhlw.go.jp\/english\/wp\/wp-hw4\/dl\/health_and_welfare_services_for_the_elderly\/2011071903.pdf"},{"key":"bibr26-1471301219879541","unstructured":"Ministry of Health, Labour and Welfare (2016). Long-term care insurance system of Japan. Retrieved from https:\/\/www.mhlw.go.jp\/english\/policy\/care-welfare\/care-welfare-elderly\/dl\/ltcisj_e.pdf"},{"key":"bibr27-1471301219879541","doi-asserted-by":"publisher","DOI":"10.3143\/geriatrics.37.772"},{"key":"bibr28-1471301219879541","first-page":"82","volume":"1","author":"Mori E.","year":"1985","journal-title":"Japanese Journal of Neuropsychology"},{"key":"bibr29-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"bibr30-1471301219879541","first-page":"845","volume":"53","author":"Ota K.","year":"2011","journal-title":"Clinical Psychiatry"},{"key":"bibr31-1471301219879541","first-page":"457","volume":"23","author":"Ota K.","year":"2012","journal-title":"Japanese Journal of Geriatric Psychiatry"},{"key":"bibr32-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"bibr33-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1177\/1049732303013006003"},{"key":"bibr34-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4433"},{"key":"bibr35-1471301219879541","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-15-00414.1"},{"key":"bibr36-1471301219879541","first-page":"1","volume":"9","author":"Ueno E.","year":"2008","journal-title":"Journal of Interdisciplinary Research, Faculty of Medical Sciences, University of Fukui"},{"key":"bibr37-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12048"},{"key":"bibr38-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1016\/j.neulet.2007.01.029"},{"key":"bibr39-1471301219879541","first-page":"19","volume":"19","author":"Yumoto A.","year":"2013","journal-title":"Journal of Chiba Academy of Nursing Science"},{"key":"bibr40-1471301219879541","doi-asserted-by":"publisher","DOI":"10.1186\/alzrt251"}],"container-title":["Dementia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1471301219879541","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1471301219879541","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1471301219879541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:49:42Z","timestamp":1777398582000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1471301219879541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,14]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1177\/1471301219879541"],"URL":"https:\/\/doi.org\/10.1177\/1471301219879541","relation":{},"ISSN":["1471-3012","1741-2684"],"issn-type":[{"value":"1471-3012","type":"print"},{"value":"1741-2684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,14]]}}}